Vascular Disease- Arterial
Terms
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- Arterial Occlusive Disease can be asymptomatic or patient may have __________ and or pain at ___________.
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Claudication- reproducible pain in calf or thigh after walking.
Rest- supine, at night - AOS wounds have...
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Discrete edge
Pale base
Atrophic skin
No hair
severe pain, rest
on heal, toe and foot - Half of peripheral arterial disease patients are asymptomatic, 37% have_________, 10% have_______ and 2% have_______.
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Stable Claudication
Chronic limb ischemnia
Acute limb ischemia - Arterial insufficiency is the causitive factor of 92% of_____________.
- major amputations
- Reduce risk for amputation with___________. Two types of this____________ and ___________.
- revascularization, surgical and endovascular dilitation and stents
- Important test that can define the level of disease is the________________.
- Ankle Brachial Index, Ankle divided by brachial.
- ABI measurments scale.
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Normal .9 to 1.0
Mild .8 to .9
Moderate .7 to .8
Severe .5 to .7
Critical less than .5 - Measuring microvascular tissue oxygen levels to predict healing (level A evidence)is called____________ and the rating scale is...
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TcPO2
Normal 60
will heal 40-60
Gray zone 20-40
Won't heal 0-20 - Arterial pulse recording scale.
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0 absent
1-4 present acending order
5 aneurysm - Test to determine patency of ulnar and radial arteries is called_________ test. You do this by__________.
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Allen's.
Occluding them and alternate release to check for flow. - Check extremities for both _____________ and _______________.
- Elevation pallor and dependent rubor.
- Elevation Pallor scale
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15 sec CRITICAL
30 sec moderate/severe
45 sec mild/moderate
60 sec normal - The 6 P's of lower extremities.
- pain, pulselessness, polar, pallor, paresthesia, paralysis
- Livedo reticularis is...
- a reddish blue net like mottling of the skin due to passive congestion, absorption of pigment from dead red blood cells.